Eastern Equine Encephalitis (EEE) Symptoms & Causes

LIke ThisLIke ThisLIke ThisLIke ThisLIke This

Contact the Division of Infectious Diseases

Causes of Eastern Equine Encephalitis (EEE)

Eastern Equine Encephalitis (EEE) belongs to a category of viruses known as arboviruses, or arthropod-borne viruses. Arboviruses are spread by the bites of blood-sucking insects, such as mosquitos and ticks. EEE is spread by the bite of certain kinds of mosquitoes. 

Risk factors

The overall risk of becoming infected with Eastern Equine Encephalitis (EEE) depends on:

  • Exposure to mosquitoes: People who spend a lot of time outdoors or live in wooded areas have a greater chance of being bitten by mosquito.
  • Time of year and day: In the United States, cases of EEE tend to occur from late spring to early fall.. Many kinds of mosquitoes are most active during dusk and dawn and during the early evening hours. 
  • Geographic region: Most cases of EEE have been reported in Atlantic and Gulf coast states. Southeastern Massachusetts, particularly Plymouth and Bristol counties, have historically been ‘hot spots’ for EEE. The Massachusetts Dept of Public Health monitors mosquito populations, tests mosquitoes for virus and calculates risks for each town.

Some people with EEE may develop a severe infection that causes brain tissue to become inflamed (encephalitis).The factors that increase one’s risk of getting a severe EEE infection include:

  • Age: Although people of any age can develop a serious infection, the risk is higher for adults older than 50 and children younger than 15.
  • Immune system: People who have a weakened immune system due to cancer treatments, or organ transplantation are more at risk of developing a serve infection.

Symptoms of Eastern Equine Encephalitis (EEE)

Symptoms of EEE generally occur four to 10 days after a person has been infected and include:

The symptoms of encephalitis depend on the part of the brain that is inflamed, the amount of inflammation and the person’s age and overall health.

Some of the most common symptoms of encephalitis include:

  • Seizures
  • Confusion (disorientation)
  • Coma

In one-third of cases, encephalitis can be fatal or lead to permanent brain damage.

When to see a doctor

Because the initial symptoms of EEE resemble those caused by many illnesses, it may be difficult to determine if a child’s symptoms are related to encephalitis. In general, you should take your child to see a doctor if your child has a bad headache, nausea and vomiting, fever or any worrisome changes in behavior (confusion, extreme sleepiness, acting very different, listlessness, lethargy, seizures). 

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944